| Skytherapist Management Services Organization, Inc | |
|
1169 Eastern Pkwy Ste 2231 Louisville KY 40217-1426 | |
| (404) 579-9167 | |
| Not Available |
| Full Name | Skytherapist Management Services Organization, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1169 Eastern Pkwy Ste 2231, Louisville, Kentucky |
| Authorized Official Name and Position | Keith Jones (CEO) |
| Authorized Official Contact | 4045799167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skytherapist Management Services Organization, Inc 4480 S Cobb Dr Se Unit 503 Smyrna GA 30080-6990 Ph: (404) 579-9167 | Skytherapist Management Services Organization, Inc 1169 Eastern Pkwy Ste 2231 Louisville KY 40217-1426 Ph: (404) 579-9167 |
| NPI Number | 1508581661 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508581661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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